Individual
JORDAN DEWOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, FNP-BC
Contact information
Practice address
2115 S FREMONT AVE STE 3300, SPRINGFIELD, MO 65804-2246
(417) 820-5206
Mailing address
PO BOX 7411626, CHICAGO, IL 60674-5626
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2021025329
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420099845
—
MO
Enumeration date
07/09/2021
Last updated
02/04/2026
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